Provider Demographics
NPI:1093907487
Name:OMEGA CARE INC
Entity Type:Organization
Organization Name:OMEGA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROCATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-338-0545
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-0394
Mailing Address - Country:US
Mailing Address - Phone:870-338-3289
Mailing Address - Fax:870-338-6388
Practice Address - Street 1:111 LOHMANS LANE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-0394
Practice Address - Country:US
Practice Address - Phone:870-338-6330
Practice Address - Fax:870-338-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility